Volunteer Application

Volunteer Application

To be completed by prospective volunteers. All information provided by this application is confidential and will not be shared with anyone outside of Gilbert House Children's Museum staff. A parent permission form must be signed and on file for volunteers under 18 years of age. Please allow us 2-3 weeks to assess placement opportunities for you.

Name

Date

Phone

Email

Birthdate

Address

City

How did you learn about volunteer opportunities at Gilbert House Children's Museum?

Volunteer Type/Duration

Direct Service (working with children/families)

Indirect (not working directly with children/families, but supporting the staff and volunteers who do)

Ongoing

One-time

Short-term/Seasonal

When are you available to volunteer?

Monday AM

Monday PM

Tuesday AM

Tuesday PM

Wednesday AM

Wednesday PM

Thursday AM

Thursday PM

Friday AM

Friday PM

Saturday AM

Saturday PM

Sunday AM

Sunday PM

Have you volunteered at Gilbert House in the past? When?

Select the highest degree acquired:

High School/GED

Associate's

Bachelor's

Master's

PhD

Currently in school

Education: If you are currently a student, please list the school you attend.

Employment: List your employer name & position

Describe your specialized skills, talents, and interests:

Emergency Contact: Primary Contact

Emergency Contact: Phone

I hereby affirm and certify that all information in this volunteer application is true and complete. I understand that Gilbert House Children's Museum will rely upon the accuracy and truth of this information. Any significant omissions or falsifications are basis for immediate dismissal. I understand that Gilbert House Children's Museum will require a background check or parent permission prior to volunteer assignment.

Agree

Hours

Tuesday – Sunday: 10 a.m. – 5 p.m.

This project has been funded in part by a grant from Willamette Valley Visitor Association in utilization of Travel Oregon Regional Cooperative Tourism Program funds.